心房颤动和心房颤动(AFIB)都是心律失常。它们都发生在有问题的问题,使心脏分室合同。当你的心跳时,你会感到那些刚果签约。
Atrial flutter和AFIB.当电信号发生的速度比正常速度快时都是引起的。两个条件之间的最大区别在于如何组织该电气活动。
People with AFib or atrial flutter may not experience any symptoms. If symptoms do occur, they are similar:
Symptom | Atrial fibrillation | Atrial flutter |
rapid pulse rate | usually rapid | usually rapid |
不规则脉搏 | always irregular | 可以是常规的或不规则的 |
头晕或昏厥 | 是的 | 是的 |
心悸(像心脏一样竞争或冲击) | 是的 | 是的 |
气促 | 是的 | 是的 |
weakness or fatigue | 是的 | 是的 |
chest pain or tightness | 是的 | 是的 |
increased chance of blood clots and stroke | 是的 | 是的 |
症状的主要差异是脉搏率的规律性。总的来说,心房颤动的症状往往不那么严重。凝块形成的可能性较少中风.
AFIB.
在Afib,你的两个顶级室心(atria) receive disorganized electrical signals.
The atria beat out of coordination with the bottom two chambers of your heart (ventricles). This leads to a rapid and irregular heart rhythm. A normal heart rate is 60 to 100 beats per minute (bpm). In AFib, the heart rate ranges from 100 to 175 bpm.
Atrial flutter
In atrial flutter, your atria receive organized electrical signals, but the signals are faster than normal. The atria beat more frequently than the ventricles (up to 300 bpm). Only every second beat gets through to the ventricles.
The resulting pulse rate is around 150 bpm. Atrial flutter creates a very specific “sawtooth” pattern on a diagnostic test known as anelectrocardiogram (EKG).
Keep reading: How your heart works »
Risk factors for atrial flutter and AFib are very similar:
Risk factor | AFIB. | Atrial flutter |
以前的心脏病发作 | ✓ | ✓ |
高血压(高血压) | ✓ | ✓ |
心脏病 | ✓ | ✓ |
心脏衰竭 | ✓ | ✓ |
abnormal heart valves | ✓ | ✓ |
出生缺陷 | ✓ | ✓ |
chronic lung disease | ✓ | ✓ |
最近的心脏手术 | ✓ | ✓ |
serious infections | ✓ | |
misuse of alcohol or drugs | ✓ | ✓ |
过度活跃的甲状腺 | ✓ | ✓ |
sleep apnea | ✓ | ✓ |
diabetes | ✓ | ✓ |
具有心房扑腾的历史的人也会增加未来心房颤动的风险。
对AFIB和心房颤动的治疗具有相同的目标:恢复心脏的正常节律并防止血栓。两个条件的治疗可能涉及:
药物,包括:
- calcium channel blockers andBeta-遭到拦截器to regulate the heart rate
- amiodarone, propafenone, and flecainide to convert the rhythm back to normal
- blood-thinning medications如非维生素K口服抗凝剂(NOAC)或华法林(Coumadin) to prevent stroke or heart attack
NOACs are now recommended over warfarin unless the person has moderate to severe mitral stenosis or has an artificial heart valve. NOACs include dabigatran (Pradaxa), rivaroxaban (Xarelto), apixaban (Eliquis) and edoxaban (Savaysa).
Electrical cardioversion: This procedure uses an electrical shock to reset the rhythm of your heart.
Catheter ablation: Catheterablation使用射频能量摧毁心脏内部的区域,导致心脏的心律异常。
Atrioventricular(AV)节点消融: This procedure uses radio waves to destroy the AV node. The AV node connects the atria and ventricles. After this type of ablation, you’ll need a起搏器to maintain a regular rhythm.
Maze surgery:Maze surgery是一个露天手术。外科医生在心脏的Atria中削减或烧伤。
药物通常是AFIB的第一个治疗方法。然而,消融通常被认为是心房颤动的最佳处理。仍然,烧蚀治疗通常仅在药物无法控制条件时使用。
Both AFib and atrial flutter involve faster than usual electrical impulses in the heart. However, there are a few main differences between the two conditions.
这两种条件都带来了增加的卒中风险。无论您是否有AFIB或心房扑动,很重要,才能提前诊断,这样您就可以获得正确的治疗方法。